Intended for healthcare professionals

Rapid response to:

Observations Medicine and the Media

MMR, measles, and the South Wales Evening Post

BMJ 2013; 346 doi: (Published 22 April 2013) Cite this as: BMJ 2013;346:f2598

Rapid Response:

Re: MMR, measles, and the South Wales Evening Post

A few comments. Will the prime movers in the present outbreak and those who have read the various rapid responses be kind enough to give us their opinions on points raised?

1. 1996 edition of Immunisation against Infectious Disease, HMSO states, on page 125, para 22.1.2 that 'recent experience shows that FEW cases notified according to clinical diagnosis are measles'. My emphasis.
2. Para 22.1.3 of t he same publication says that whenever possible saliva samples should be taken from all notified cases.

Questions arising from paras 1 and 2 above:

What are the results so far, from any such studies, anywhere in England and Wales?

Para 22.1.15 , in relation to mumps, states that 'Laboratory testing shows that most notified cases are not mumps.'

Q. Given that mumps in early childhood is less likely to cause complications such as orchitis, is it not reasonable to postpone mumps immunisation to about 11 years?

Competing interests: Trying to find facts

15 May 2013
JK Anand
Retired doctor
Free spirit